HomeMy WebLinkAboutDrain Layers Permit 11 Murray Road (2) i 'TOWN OF SOUTH WIN DSOR
DEPARTMENI*OF" ALLUTION CONTROL
South Windsor, Connecticut
^ DRAIN LAYER'S PERMIT p
465
•, 19m—
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Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at-
on the
side, between
at premises owned
whose address is
and to X _Lay House Drain, Repair House Drain, Lay Main, Other
for
occupancy or use,
with Me (1) Family Units, with acres.
Type of Sewage to be connected under this permit:
(SANITARY SEWAG.1, INDUSTRIAL WASTES, OR
Connection will be made with
Permit to be issued to T)r�
the holder of Drain Layer's License No -� Permit will expire on i
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side _
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation..;
SPECIAL CONIXTIONS' R000111
Signed
Connection Charge Paid $ i�Ps a e
(Sig) Issued by x 00
Tax Collector
Permit Fee: Paid "
INSPECTION:
INITIAL // r i : iI" $
( g)
FINAL , (Sig)
APPROVED �1_.,.-�._ 7 !� (Date)
(Sig)
INSPECTOR